Hospice and Palliative Care

Paulette Hamilton Excerpts

Monday 13th January 2025 Commons Chamber

[Paulette Hamilton (Birmingham Erdington) (Lab)]

I thank the hon. Member for Wimbledon (Mr Kohler) for securing this important debate. As a nurse for 25 years and as co-chair of the all-party parliamentary group on hospice and end of life care, hospice and palliative care has always been at the heart of my work, both in this Chamber and in my community.

I start by acknowledging the fantastic decision by the Government to boost investment in hospices by £100 million—the largest funding uplift in a generation. That is a clear sign that the Government are listening to the hospice sector and responding with actions, not just words. However, this uplift must be the beginning and not the end. This new money will not last forever. We must now take concrete steps to ensure that the awful conditions in the hospice sector that we inherited are never repeated. It is worth noting that while the independent commission on palliative and end of life care recently created by my hon. Friend the Member for York Central (Rachael Maskell) is welcome, it will mainly be about delivery and not funding. We simply cannot wait for a palliative care taskforce to complete its report; that could take months, which this sector cannot spare.

In my role, I hear time and again about postcode lotteries and the chronic lack of funding that plagues this vital sector. Through no fault of its own, John Taylor hospice, which does fantastic work in my constituency, is facing a crisis in funding; it has had to announce redundancies and a reduction in in-patient beds due to the funding shortfall. That story is being repeated all over the country—I am sure many Members in this Chamber have a similar situation that they could share. Hospice care still relies heavily on charity, bake sales and donations to fund much of the work that supports families during their most vulnerable moments. That must change. This postcode lottery not only is unfair, but undermines the principles of universal healthcare. We cannot allow end of life care to depend on where someone lives and how much money they have.

Hospices across the UK provide care and support to 300,000 people every year. They are an absolutely essential part of our healthcare system, although they are in the charity sector. Every single day, hospices face rising costs of energy, food and medicine; every single day, they deliver exceptional care, even as pressures mount; and every single day, they battle deficits that threaten their ability to continue. Despite all those challenges, our hospices save the NHS millions each year by alleviating pressures on hospitals and providing community-based care. However, their ability to continue this vital work is at risk, and they need long-term sustainable support. We need to face the future head on and fix their funding model permanently.

While I absolutely understand that hospices are under pressure, the integrated care boards that fund them are similarly under a great deal of pressure due to year-on-year budget reductions from NHS England. Asking ICBs to find extra money without it being allocated centrally as revenue is impossible.

Death is a part of life, as the hon. Member for Wimbledon said, and as we all know. Nobody would say we should neglect healthcare, so why are we neglecting the hospice sector by not securing a sustainable funding formula? To truly address the gaps in our system, we need a sustainable funding model that ensures hospices can meet growing demands without being forced to cut services. The people of this country deserve a future where every family, no matter their circumstances, can access the highest quality of end of life care without worry, one where hospice care is not a postcode lottery but a promise.

Let us turn this moment into an opportunity. We must act urgently to implement and improve a sustainable funding package for hospices and palliative care. With constructive action, we can build a system that uplifts the most vulnerable among us, strengthens the NHS and shows the best of what we can achieve as a nation. Let us ensure that the legacy of this debate is not one of uncertainty, but one of determination and passion, and that when we see the 10-year plan, hospice and palliative care will be fully funded going forward.